Individual provider Active NPI

Marissa Ann Maple

  • Certified Registered Nurse Anesthetist
  • Beverly Hills, CA
National Provider Identifier
1508510587
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NA95001898 Issued in CA
Practice address
414 N Camden Dr Ste 1010
Beverly Hills, CA 90210-4515
Phone
(408) 813-7446
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NA95001898 CA Primary

Addresses

Primary practice location

414 N Camden Dr Ste 1010
Beverly Hills, CA 90210-4515

Mailing address

22325 Regnart Rd
Cupertino, CA 95014-4824
Phone (408) 813-7446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230323000442 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0749663482 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
University of Florida College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Anesthesia Partners IncGroup PAC ID 9638563521, 11 clinicians
Buena Vista Anesthesia Medical GroupGroup PAC ID 7113975996, 51 clinicians

Practice addresses (Care Compare)

2211 W Magnolia Blvd
Suite 205B
Burbank, CA 91506-1753
Phone (818) 588-4150

339 S Moorpark Rd
Suite 339
Thousand Oaks, CA 91361-1008
Phone (805) 497-3690

501 S Buena Vista St
Burbank, CA 91505-4866
Phone (818) 843-5111

Hospital & facility affiliations

  • Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NA95001898CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Apa Medical Group, Inc. CurrentSince Mar 9, 2024 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Jan 30, 2024 Accepting new patients
Burbank Anesthesia Associates a Professional Medical Corporation CurrentSince Feb 1, 2025 Accepting new patients
Advanced Anesthesia Specialists a Medical Corporation CurrentSince Jan 30, 2024 Accepting new patients
Brotman Medical Anesthesia Group CurrentSince Sep 28, 2024 Accepting new patients
Tip Top Anesthesia Group Inc CurrentSince Aug 19, 2023 Accepting new patients
Apmc Medical Group Inc Past Accepting new patients

Locations

1001 Tower Way
Ste 150
Bakersfield, CA 93309
Phone (310) 779-3025

8750 Wilshire Blvd
Ste 150
Beverly Hills, CA 90211
Phone (310) 461-1122

8641 Wilshire Blvd
Ste 201
Beverly Hills, CA 90211
Phone (310) 289-8600

50 N La Cienega Blvd
Ste 203
Beverly Hills, CA 90211
Phone (323) 988-0896

8641 Wilshire Blvd
Ste 225
Beverly Hills, CA 90211
Phone (310) 858-2224

2211 W Magnolia Blvd
Ste 205B
Burbank, CA 91506
Phone (818) 588-4150

16501 Ventura Blvd
Ste 103
Encino, CA 91436
Phone (310) 659-6333

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

10921 Wilshire Blvd
Ste 1111
Los Angeles, CA 90024
Phone (310) 208-0474

10921 Wilshire Blvd
Ste 1104
Los Angeles, CA 90024
Phone (310) 208-7744

15251 National Ave
Ste 207
Los Gatos, CA 95032
Phone (408) 356-0052

302 W La Veta Ave
Ste 100
Orange, CA 92866
Phone (408) 358-1555

7230 Medical Ctr
Ste 500
West Hills, CA 91307
Phone (310) 285-2424

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680912000000",
    "number": "1508510587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22325 REGNART RD",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950144824",
            "telephone_number": "408-813-7446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 N CAMDEN DR STE 1010",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104515",
            "telephone_number": "408-813-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLE",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "NA95001898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.